Effect of shock wave therapy on primary dysmenorrhea: a randomized controlled trial

Shaimaa M. Hamed, Sohier M. El Koseiry, Hossam E. Hussien, Ghada E. El Refaye

Shaimaa M. Hamed, Sohier M. El Koseiry, Hossam E. Hussien, Ghada E. El Refaye – Effect of shock wave therapy on primary dysmenorrhea: a randomized controlled trial. Fizjoterapia Polska 2021; 21(5); 118-123

DOI: https://doi.org/10.56984/8ZG209A4A

Abstract
Purpose. Primary dysmenorrhea is a cramping aching pain in the lower abdominal that affects nearby 90% of adolescent females. The purpose of this study was to investigate the impact of the shock wave therapy on primary dysmenorrhea.
Methods. Fifty females with primary dysmenorrhea aged 18 –25 years were randomly allotted into two equivalent groups, study group (A) or a control group (B). Group (A) received shock wave about 5000 shock/session for three sessions for the first three days of the menstrual period in addition to the in addition to the dietary modifications for three successive menstrual period. The control group (B) received dietary modifications for 3 months. The numerical rating scale (NRS) and prostaglandin F2α level were used to evaluate females before and after intervention.
Results. Within- and between-group analysis revealed a significant difference in all variables after the intervention in favor of group A, as p-value ˂ 0.05.
Conclusion. Shock wave therapy is an effective method for alleviating primary dysmenorrhea pain.
Key words:
primary dysmenorrhea, prostaglandin f2α, shock wave, dietary modifications, numerical rating scale
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Effect of acupressure on prostaglandin F2α in primary dysmenorrhea: A randomized controlled trial

Mohamed A. Awad, Esraa A. Khowailed, Amir A. Gabr, Magda Ramadan Zahran, Doaa A. Osman

Mohamed A. Awad, Esraa A. Khowailed, Amir A. Gabr, Magda Ramadan Zahran, Doaa A. Osman – Effect of acupressure on prostaglandin F2α in primary dysmenorrhea: A randomized controlled trial. Fizjoterapia Polska 2020; 20(4); 168-173

Abstract

Objectives. It is well documented that acupressure has a beneficial effect on reducing pain severity of primary dysmenorrhea; however, none of the previous studies had investigated the effect of acupressure on prostaglandin levels in females with primary dysmenorrhea. This study aimed to investigate the effect of acupressure on prostaglandin F2α (PGF2α) in primary dysmenorrhea.
Methods. A total of 50 adult females with primary dysmenorrhea participated in this study. Their ages ranged from 19 to 27 years and their body mass index (BMI) ranged from 20 to 25 kg/m2. They were randomized into 2 equal groups. Group (A) received nutritional modification for 3 consecutive menstrual cycles, while group (B) received the same nutritional modification in addition to acupressure at the liver point (LIV3) for 3 consecutive menstrual cycles. The primary outcome was plasma levels of PGF2α while the secondary outcome was short form of McGill pain questionnaire. The outcome measures were evaluated pre- and post- treatment.
Results. Comparing both groups post-treatment revealed that there were significant reductions in PGF2α levels and short form of McGill pain questionnaire scores (p < 0.0001) in favour of group (B).
Conclusions. Acupressure is effective in treating females with primary dysmenorrhea through reducing levels of PGF2α and scores of short form of McGill pain questionnaire.

Key words:

acupressure, prostaglandin F2α, short form of McGill pain questionnaire, primary dysmenorrhea

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